How much rates vary
Professionalmedian $91 · 10th to 90th $68 to $123
Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.
Rates by insurance carrier
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier None (both parts) Typical Low $97.72 Median $97.72 Typical High $102.33 | Professional | None (both parts) | $97.72 | $97.72 | $102.33 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $63.10 Median $63.10 Typical High $66.07 | Professional | 26 · Professional part | $63.10 | $63.10 | $66.07 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $33.88 Median $33.88 Typical High $36.31 | Professional | TC · Technical part | $33.88 | $33.88 | $36.31 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $83.18 Median $91.20 Typical High $104.71 | Professional | None (both parts) | $83.18 | $91.20 | $104.71 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $20.89 Median $22.91 Typical High $23.44 | Professional | 26 · Professional part | $20.89 | $22.91 | $23.44 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $61.66 Median $69.18 Typical High $69.18 | Professional | TC · Technical part | $61.66 | $69.18 | $69.18 |
Cigna Setting Professional Modifier None (both parts) Typical Low $95.50 Median $114.82 Typical High $208.93 | Professional | None (both parts) | $95.50 | $114.82 | $208.93 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $63.10 Median $72.44 Typical High $134.90 | Professional | 26 · Professional part | $63.10 | $72.44 | $134.90 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $33.88 Median $41.69 Typical High $72.44 | Professional | TC · Technical part | $33.88 | $41.69 | $72.44 |
Kaiser Permanente Setting Professional Modifier None Typical Low $114.82 Median $134.90 Typical High $190.55 | Professional | None | $114.82 | $134.90 | $190.55 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $74.13 Median $87.10 Typical High $123.03 | Professional | 26 · Professional part | $74.13 | $87.10 | $123.03 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $39.81 Median $48.98 Typical High $67.61 | Professional | TC · Technical part | $39.81 | $48.98 | $67.61 |
United Setting Professional Modifier None (both parts) Typical Low $58.88 Median $79.43 Typical High $186.21 | Professional | None (both parts) | $58.88 | $79.43 | $186.21 |
United Setting Professional Modifier 26 · Professional part Typical Low $16.98 Median $29.51 Typical High $58.88 | Professional | 26 · Professional part | $16.98 | $29.51 | $58.88 |
United Setting Professional Modifier TC · Technical part Typical Low $22.91 Median $54.95 Typical High $131.83 | Professional | TC · Technical part | $22.91 | $54.95 | $131.83 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $67.61 Median $67.61 Typical High $67.61 | Professional | None (both parts) | $67.61 | $67.61 | $67.61 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $16.60 Median $16.60 Typical High $16.60 | Professional | 26 · Professional part | $16.60 | $16.60 | $16.60 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $50.12 Median $50.12 Typical High $50.12 | Professional | TC · Technical part | $50.12 | $50.12 | $50.12 |
2 more rates with less common billing modifiers
A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $14.45 Median $14.45 Typical High $15.49 | Professional | 55 · Aftercare only | $14.45 | $14.45 | $15.49 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $9.77 Median $9.77 Typical High $10.23 | Professional | 56 · Pre-op care only | $9.77 | $9.77 | $10.23 |
Where Maryland sits
The same service costs 4.4 times more in Minnesota than in Alabama. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.
Maryland· 41st of 51
$91.20
MN $275AL $63.10
Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.